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General NPI Number Information
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NPI Number | 1720736382
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Entity Type | Organization
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Legal Business Name | TERESA T. NGUYEN & ASSOCIATES
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 2407 MATHER DR APT 4
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City | SAN JOSE
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State | CA
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Zip | 95116-1727
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Country | US
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Telephone | 408-332-4235
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 MATHER DR APT 4
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City | SAN JOSE
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State | CA
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Zip | 95116-1727
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Country | US
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Telephone | 408-332-4235
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Fax |
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Authorized Official
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Title or Position | NP
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Name | TERESA T NGUYEN
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Credential | NP
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Telephone | 408-332-4235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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